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What is HIPAA-Compliant Email Marketing?

Tuesday, January 14th, 2025

Incorporating HIPAA compliant email marketing into healthcare marketing practices offers a powerful avenue to engage patients and promote services by using a specifically designed healthcare marketing solution that is 100% HIPAA compliant.

It is imperative to ensure that email marketing communications comply with the Health Insurance Portability and Accountability Act (HIPAA) to protect patient privacy and secure protected health information (PHI).

If you are one of the 92% of Americans with an email address, you are likely familiar with email marketing. It is a tried and true marketing strategy that delivers a superior return on investment compared to other digital channels. However, when healthcare organizations want to utilize these strategies, out-of-the-box solutions are not a good fit. Healthcare organizations must utilize email marketing platforms specifically designed to meet HIPAA’s unique privacy and security requirements.

When Do You Need a HIPAA-Compliant Email Marketing Platform?

Healthcare organizations are required to use a HIPAA-compliant email marketing platform because their messages often contain electronic protected health information (ePHI). This includes information that is both individually identifiable and relates to someone’s healthcare.

Individually identifiable information includes identifiers like a patient’s name, address, birth date, email address, social security number, and more. By default, every email marketing communication includes the patient’s email address and is, therefore, individually identifiable. Not only does the definition of ePHI cover people’s past, present, and future health conditions, but it also includes treatment provisions and billing details. This information is often contained in email marketing messages.

While the law does not cover anonymous health details or individual identifiers sent by themselves, you must be careful and abide by HIPAA regulations when the two are brought together. You will need a HIPAA-compliant email marketing service whenever you send ePHI. As we will see, even if you think an email may not contain ePHI, it is still best to be cautious.

Types of HIPAA-Compliant Email Marketing Communications

An excellent example of an email blast that must comply with HIPAA is a newsletter sent to a clinic’s cancer patients. At first glance, the email doesn’t contain any specific PHI. It doesn’t mention Jane Smith’s chemotherapy treatments, other specific patients, or their medical information. However, upon closer look, it may violate HIPAA regulations.

Every email in this campaign contains a personal identifier- the patient’s email address. In this example, only cancer patients received the newsletter, which also tells you personal medical information. A hacker could infer that anyone who received this email has cancer, which is ePHI and protected under HIPAA. If you use a medical condition to create a segment of email recipients, the email campaign must comply with HIPAA.

Sometimes, it can be challenging to identify if an email contains ePHI. If you sent the same practice newsletter to a list of all current and former medical clinic patients, it may or may not contain ePHI. Even if the newsletter contained benign info about the practice’s operating hours or parking information, if the practice is centered around treating a specific condition like cancer or depression, it may be possible to infer information about the recipients regardless of the message.

There are a lot of gray areas, and it can be difficult to determine if an email contains PHI. We recommend using HIPAA-compliant email marketing for any promotional materials to reduce the risk of violations.

The Benefits of Using a HIPAA-Compliant Marketing Platform

After reading this, you may think the answer is to avoid sending PHI in email campaigns. However, by keeping your communications bland, generic, and broadly targeted, you miss out on significant opportunities to engage your patients.

Using a HIPAA-compliant email marketing solution, you can leverage ePHI to send much more effective messages. In the above example, cancer patients actively receiving treatment at your clinic are much more likely to be interested in your business updates. Targeted emails receive much higher open and click rates than those sent to a general list.

Results of leveraging PHI

Sending the right information to your patients at the right time is an effective patient engagement strategy. Think about it using an e-commerce example- when a retailer sends you product recommendations based on past purchases; they use your data to influence future purchasing decisions. By utilizing patient data to create highly relevant and personalized campaigns and offers, you receive a better return on investment in your efforts.

What is Required for HIPAA-Compliant Email Marketing?

Finding the right HIPAA-compliant email marketing platform can be challenging. Most of the common vendors aren’t HIPAA-compliant at all. Others claim compliance and will sign BAAs to protect your information at rest but still will not enable you to send PHI via email. Finding a provider that suits your business needs and protects the email messages requires careful vetting.

Generally speaking, a HIPAA-compliant email platform must meet three broad requirements:

  1. The vendor will sign a Business Associates Agreement that outlines how they will protect your data and what happens in case of a breach.
  2. The vendor protects the data at rest using appropriate storage encryption, access controls, and other security features.
  3. The vendor protects messages in transit using an appropriate level of encryption with the proper ciphers.

Thankfully, LuxSci’s Secure Marketing email platform has been designed to meet the healthcare industry’s unique needs. Our platform was built with both security and compliance at the forefront. With Secure Marketing, organizations can send fully HIPAA-compliant email marketing messages to the right patients at the right time and receive a better return on their marketing investment.

HIPAA Compliant Infrastructure Requirements

Sunday, December 1st, 2024

If you are building a new environment that must comply with HIPAA, you may be surprised to find that the HIPAA compliant infrastructure requirements do not require the use of any specific technology. This provides a lot of flexibility for developers and architects but can also introduce risk if you are unfamiliar with the compliance requirements. This article outlines a few considerations to keep in mind as you build a HIPAA compliant infrastructure or application.

infrastructure hipaa requirements

Dedicated Servers and Data Isolation

Reliability and data security are two of the most important considerations when building a healthcare application. Building an infrastructure in a dedicated server environment is the best way to achieve these aims. Let’s look at both.

Reliability

Hosting your application in a dedicated environment means you never have to share server resources with anyone else, and it can be configured to meet your needs exactly. This may also include high-availability configurations to ensure you never have to deal with unexpected downtime. For many healthcare applications, unexpected downtime can have serious consequences. 

Security

A dedicated environment isolates your data from others, providing an added security layer. Segmentation and isolation are crucial components of the Zero Trust security stance, and using a dedicated environment helps keep bad actors out. Hosting your application in a public cloud could put sensitive data at risk if another customer falls victim to a cyberattack or suffers a security incident.

HIPAA does not require the use of dedicated servers. Still, any host you choose must follow the HIPAA requirements associated with access controls, documentation, physical security, backups and archival, and encryption. Review our checklist for more details about HIPAA’s security requirements.

Encryption

It’s worth spending a minute discussing encryption because it’s an often misunderstood topic. Encryption is listed as an “Addressable” standard under HIPAA. Because it is not “Required,” this leads many to think that it is optional. The Rule states: “Ensure the confidentiality, integrity, and availability of all electronic protected health information the covered entity or business associate creates, receives, maintains, or transmits.” So, while HIPAA does not state that covered entities must use encryption, it does say that they need to ensure the confidentiality of any ePHI that is created, received, maintained, or transmitted.

The confusion arises because HIPAA is technology-neutral and does not specify how exactly to protect ePHI. Encryption is unnecessary if your organization can devise another way to protect sensitive data. However, practically speaking, there aren’t many alternatives other than not storing or transmitting the data at all. Encryption is the easiest and most secure way to protect electronic data in transmission and at rest.

At-Rest Encryption

HIPAA does not require at-rest encryption, though it is recommended to decrease risk and potential liability in some situations. Suppose your risk assessment determines that storage encryption is necessary. In that case, you must ensure that all collected and stored protected health information is encrypted and can only be accessed and decrypted by people with the appropriate keys. This makes backups secure, protects data from access by unauthorized people, and generally protects the data no matter what happens (unless the keys are stolen). Storage encryption is essential in any scenario where the data may be backed up or placed in locations out of your control. 

Transmission Encryption

If protected health information is transmitted outside of the database or application, encryption must also be used to protect the data in transmission. At a minimum, TLS encryption (with the appropriate ciphers) is secure enough to meet HIPAA guidelines. However, TLS alone may not be appropriate for your use cases.

  • Consider using a portal pickup method, PGP, or S/MIME encryption when transmitting highly sensitive information to end users.

Backup HIPAA Compliant Infrastructure Requirements

Backups and archival are often an afterthought regarding HIPAA compliance, but they are essential. HIPAA requires that organizations “Create a retrievable, exact copy of electronic protected health information, when needed, before movement of equipment.” You must be sure that all ePHI stored or collected by your application is backed up and can be recovered in case of an emergency or accidental deletion. If your application sends information elsewhere (for example, via email), those messages must also be backed up or archived. HIPAA-compliant backups are robust, available, and accessible only by authorized people.

Under HIPAA Omnibus, organizations must keep electronic records of PHI disclosures for up to three years. Some states and company policies may require a longer record of disclosures; some states require up to ten years. When building a HIPAA-compliant infrastructure from scratch, it’s also essential to build backups.

Conclusion

If it is your first time dealing with HIPAA compliant infrastructure requirements, be sure to ask the right questions and work only with vendors who thoroughly understand the risks involved. It can be overwhelming, but by selecting the right partners, you can achieve your goals without violating the law. 

Omnichannel Healthcare Marketing

Saturday, November 23rd, 2024

Omnichannel healthcare marketing is a relatively new strategy that can help healthcare marketers achieve success.

Marketers need to leverage a variety of marketing tactics to reach and communicate with their patients. Omnichannel marketing involves the integration of digital channels and traditional media to provide a consistent and personalized experience across all channels to drive marketing success.

omnichannel marketing

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Dental Practice HIPAA Marketing

Sunday, September 29th, 2024

Dental practices face enormous challenges when it comes to acquiring new patients and expanding their practices. Marketing is all but essential to make sure your practice thrives. This article discusses how dental practices can thrive using personalized HIPAA marketing without running afoul of HIPAA regulations.

Dental Practice Marketing Today

HITRUSTMarketing is essential to growing any business successfully, but operating in highly regulated spaces such as dentistry, there are serious compliance considerations. Whether responding to an online patient review or trying to increase patient engagement through marketing campaigns, misunderstanding HIPAA can lead to patient privacy breaches that place your finances and reputation at risk.

The Health Insurance Portability and Accountability Act (HIPAA), which controls what and when patient information may be shared for marketing purposes, was enacted before the electronic age. As a result, it can be challenging to find information regarding appropriate marketing practices using modern social and software technologies.

Most Common Misunderstandings of HIPAA

HIPAA is a complicated set of rules and regulations. When it comes to patient marketing, there are many misconceptions about what is and isn’t allowed. Here we unpack a few of the most common misunderstandings as they apply to HIPAA-compliant marketing.

1. As long as patient consent is acquired, HIPAA doesn’t matter

Acquiring patient consent does not remove the organization’s obligation to secure protected health information (PHI) under the law. If PHI is improperly accessed, it is a breach and can lead to severe consequences.

2. Marketing emails do not need encryption

Many marketing emails imply a relationship between patients and providers and, as such, can often be classified as PHI. HIPAA regulations require PHI to be encrypted in transit and at rest.

3. Personalizing marketing emails is a HIPAA violation

Marketing emails can be personalized as long as the proper safeguards and precautions are in place to protect patient privacy and meet compliance requirements.

The Power of Marketing Personalization for Dental Practices

When using a HIPAA-compliant email marketing solution, you can leverage the data and information you have about your patients to increase engagement.

personalization stats

Improve marketing results and drive better patient outcomes by connecting to your patients with messaging that matters to them. Using PHI to segment and personalize emails delivers results for both your practice and your patients.

A Cautionary Tale

In May 2022, Dr. U. Phillip Igbinadolor, D.M.D. & Associates, a dental practice with offices in Charlotte and Monroe, North Carolina, allegedly impermissibly disclosed a patient’s protected health information on a webpage in response to a negative online review. The Office for Civil Rights imposed a $50,000 civil penalty.

Marketing Directly Impacts Practice Success

In the last decade, patients have significantly changed how they seek healthcare. Most patients now consult digital channels as a primary source of information when searching for new treatments and providers. The information they find via internet searches, social media, and review websites substantially influences their choice of provider. For dental marketers, this change has required a significant adjustment to their marketing strategies.online marketing stats

The Answer is a Fully Compliant Marketing Communications Solution

Starting a new marketing program requires the right tools. Do not choose a solution that prohibits you from using PHI in a way that is fully compliant.

quasi compliance

How to Evaluate Secure Communications Solutions for Healthcare

Choosing the right email encryption solution is especially critical for dental organizations. HIPAA regulations, PHI risk, and improved patient engagement are absolute priorities. Not to mention the need for software that offers ease of use, simple integration, and high-level support. 

Meet Compliance Requirements for Email

LuxSci’s Secure Connector adds a layer of protection to Google Workspace and Microsoft 365 email accounts. Don’t leave your organization’s security up to employees. Prevent breaches by securing sensitive data by default. LuxSci is HITRUST certified and can meet compliance requirements for HIPAA, SOC, GDPR, and more.

evaluation details

Conclusion: Online Marketing Isn’t Optional

Marketing your dental practice is no longer as simple as creating a listing in a directory or sending mail to potential patients. To remain competitive, practices must adopt online advertising techniques that offer a solid return on investment. The perils of possible HIPAA violations may dissuade some from taking the leap- but by properly vetting vendors, training staff, and selecting the right tools, it’s possible to engage patients and achieve results.

17 Questions To Ask Before Sending A HIPAA-Compliant Marketing Email

Saturday, April 20th, 2024

You’ve just been told that your email marketing program is putting your company at risk of violating HIPAA. What now? If you want to continuing using email to communicate with patients, you must implement HIPAA-compliant email marketing.

Start by breaking down that goal into two components: becoming HIPAA-compliant and achieving your HIPAA marketing objectives. Setting up HIPAA-compliant systems and procedures will ensure your patient data is protected. However, you don’t have to let your marketing objectives suffer for the sake of security. Implementing a HIPAA-compliant marketing program can actually help you achieve better marketing results.

Ask yourself these 17 questions to ensure your email marketing plan aligns with your business goals and HIPAA.

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